总结分析了27例收住PICU的先天性心脏病合并肺炎患儿。其中＜6月占66．7％，先心病中以左向右分流居多占92％。这些患儿肺炎发病早、易反复，临床症状、体征与感染程度不一致，且心衰出现早、易反复并难以控制。虽经强心、抗炎等综合治疗，仍有11例院内死亡，10例病重放弃治疗。仅有6例肺炎治愈出院，提出应提高对先心病合并肺炎患儿的诊治管理水平以降低婴幼儿先心病肺炎的病死率。 A total of 27 children with congenital heart disease complicated with pneumonia receiving PICU were analyzed. Which <66.7% in June, congenital heart disease in left to right diversion accounted for 92%. The incidence of pneumonia in children with early, easy to repeat, clinical symptoms, signs and levels of infection is inconsistent, and early heart failure, repeated and difficult to control. Although cardiac, anti-inflammatory and other comprehensive treatment, there are still 11 cases of nosocomial death, 10 patients give up treatment. Only 6 cases of pneumonia were cured and discharged, and the diagnosis and management of children with congenital heart disease complicated with pneumonia should be raised to reduce the mortality of pneumonia in infants and children with congenital heart disease.